| Frederick Jay Kellaway, MD | |
|
602 Michigan Ave, Holland, MI 49423 | |
| (616) 392-5141 | |
| Not Available |
| Full Name | Frederick Jay Kellaway |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 602 Michigan Ave, Holland, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679593982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301071423 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Jay Kellaway, MD 3264 N Evergreen Dr Ne, Ste 101, Grand Rapids, MI 49525 Ph: (616) 363-7272 | Frederick Jay Kellaway, MD 602 Michigan Ave, Holland, MI 49423 Ph: (616) 392-5141 |
Gerald Joseph Perriguey Iii, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Paula Kristine Maas, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1904 Goldeneye Dr, Holland, MI 49424 Phone: 616-399-3662 | |
Konstantin Raimund Loewig, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Jeffrey S Tanis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 | |
Gary L Bowman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Edward Jerome Maas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 | |
Richard Wayne Partridge, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Avenue, Holland, MI 49423 Phone: 616-392-5141 |